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DR. IRENE VASILY KARDASHIAN M.D.
NPI 1124011804
Internal Medicine in Hudson, FL

Active since August 26, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0990628 · Waiver
14100 FIVAY RD, SUITE 100, HUDSON, FL 34667(727) 819-2534(727) 819-2687 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Irene Vasily Kardashian M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IRENE VASILY KARDASHIAN M.D. (NPI 1124011804) is an individual internal medicine provider in Hudson, Florida, licensed in Florida (ME79368) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 27, 2027, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1124011804
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. IRENE VASILY KARDASHIANCredential: M.D.
Location Address14100 FIVAY RD, SUITE 100Hudson, FL 34667-7180
Mailing Address14100 Fivay Rd, Suite 100Hudson, FL 34667-7180 · (727) 819-2534 · Fax (727) 819-2687
Phone(727) 819-2534
Fax(727) 819-2687
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 26, 2005
Last NPPES UpdateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1124011804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME79368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14100 FIVAY RD, Hudson, FL 34667
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Other Identifiers 2

Medicaid262649700FL
Other1558503367FL · Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Irene Vasily Kardashian M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395894356
PECOS Enrollment IDI20090521000301
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0990628

Irene V Kardashian MD PA · Hudson, FL
Active · expires Aug 27, 2027
CLIA Number10D0990628
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorIrene V. Kardashian MD
Laboratory Phone(727) 819-2534
Laboratory LocationIrene V Kardashian MD PA14100 Fivay Rd Ste 100, Hudson, FL 34667
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
445 services218 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
269 services191 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
189 services189 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
94 services67 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
70 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
70 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34667 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers25 claims60 services$6.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims14 services$14.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$65.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROBIN ADKINS BARRETT
Physical Therapist
14100 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 869-9479
DR. LUIS R. ANNONI-SUAU MD
Internal Medicine (Clinical Cardiac Electrophysiology)
14100 FIVAY RD, SUITE 310
HUDSON, FL 34667
Pasco County (727) 862-3202
MONICA YVETTE PLAZARTE DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
14100 FIVAY RD, SUITE 250
HUDSON, FL 34667
Pasco County (727) 869-7822
SUNDARI PLASTICS LLC
Surgery
14100 FIVAY RD, SUITE 130
HUDSON, FL 34667
Pasco County (727) 378-5808
DR. MUNA GOYAL M.D
Specialist
14100 FIVAY RD, SUITE 120
HUDSON, FL 34667
Pasco County (727) 819-2338
JOHN LOZANO MD PA
Durable Medical Equipment & Medical Supplies
14100 FIVAY RD, SUITE 170
HUDSON, FL 34667
Pasco County (727) 869-2285
MARY ELLEN LIAN M.S., CCC - SLP
Speech-Language Pathologist
14100 FIVAY RD, SUITE 210
HUDSON, FL 34667
Pasco County (727) 869-9479
SHEILA MARY WALSH PT
Physical Therapist
14100 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 869-9479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Kardashian's NPI number?

The NPI number for Irene Kardashian is 1124011804. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Irene Kardashian located?

Irene Kardashian practices at 14100 Fivay Rd Suite 100, Hudson, FL 34667. The listed phone number is (727) 819-2534.

What is Irene Kardashian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Irene Kardashian enrolled in Medicare?

Yes. Irene Kardashian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Irene Kardashian hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0990628) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Irene Kardashian accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Irene Kardashian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Irene Kardashian was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.